| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,158 |
5,577 |
$332K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,815 |
1,560 |
$129K |
| 99223 |
Prolong inpt eval add15 m |
420 |
418 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
306 |
302 |
$16K |
| 85018 |
|
3,048 |
2,969 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
135 |
61 |
$7K |
| 59025 |
Fetal non-stress test |
249 |
184 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
111 |
108 |
$7K |
| 81025 |
|
798 |
757 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
124 |
124 |
$6K |
| 20610 |
|
279 |
249 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,296 |
1,282 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
41 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
263 |
194 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
48 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
209 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 90686 |
|
94 |
93 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
249 |
238 |
$938.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
208 |
204 |
$856.13 |
| 99220 |
|
12 |
12 |
$854.62 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
249 |
238 |
$799.73 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
32 |
32 |
$654.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$539.94 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
64 |
25 |
$491.33 |
| 90715 |
|
12 |
12 |
$439.21 |
| 62323 |
|
12 |
12 |
$271.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$270.37 |